Justin Mandeville, PA-C
Physician Assistant · Yelm, WA
UnclaimedPA-CNPI 1073019550
- Primary taxonomy
- 363A00000X
- Enumerated
- 2018-04-03
- Practice location
- Yelm, WA
- Last NPPES update
- 2023-07-25
State licenses
- WA · Physician assistant · Physician Assistant LicensePending
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.